Facility Evaluation Report

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced annual visit. LPA met with Administrator, who assisted with the visit. LPA explained the reason for the visit. LPA used the infection control tool to evaluate the facility. The physical plant was inspected along with medications, food supply, and clients and staff records. The facility is licensed to serve developmentally disable clients between the ages 18 to 59. There are currently 4 clients residing at the home and receive services from San Gabriel / Pomona regional Center. At the time of visit there was one (1) client at the facility. Three (3) clients were at the Day program. The facility is located in a residential area. LPA toured the home and inspected 3 clients bedrooms, 1 staff room, 1 clients bathroom, 1 staff bathroom (inside of staff room which is locked), living/dining room area, kitchen, laundry area, detached garage, backyard, and front yard. The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded seating / patio area for the clients located in the backyard. The detached garage in the backyard locked and inaccessible to clients. Passageways and exits are free of obstruction. Client bedrooms and bathroom were checked. Each bedroom is equipped with the proper furnishings. Bedrooms also have sufficient closet space. The bathroom is clean and have the required hygiene items. The hot water temperature was tested and was measured within Title 22 Regulation guidelines. Extra linens, blankets, towels, and personal hygiene supplies were observed. Clients personal hygiene supplies are stored in the cabinet located in the dining room. There is a fireplace located in the living room area which covered by a screen. The kitchen was inspected. There is sufficient perishable and non-perishable food. All the appliances are clean and working properly. Sharps are locked and are inaccessible to clients.